Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs

• Format for multiple problems - tf
  • Here's what I mean - tf
    • Here's what I'd do. sm - nm
    • Since no QA, just do what you feel - FT MT
    • If QA has no recommendations, you don't have to have headings in there at all. Just do the report - as separate paragraphs for each prob. nm
  • Best to ask your QA how the client prefers this to be done. nm - nm
  • Can you see samples of how the other MTs handle it? Are these SOAP notes? Can you number the probs - under Assessment/Plan? nm
  • Not sure what you mean. - FT MT

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Was wondering if there are any websites out there that gives sample reports for SOAP notes. Just trying to figure out which is the best way to do it with paragraphs between each heading or all scrunched together. Just want to see what is done more of. I realize it might depend on the clinic, dr, hospital, etc, but just want to get an idea.

Thanks Carla

Angiogram of left leg via right groin pelvic _____ (s/l frons?), as well as extremity _____ (s/l runs?)

Nephro-sparing bicarb? 

Thank you for any help.

Parents will explore talented and gifted programs through their S/L "dyascies" if not they may explore private school or public school options.

thanks so much for any thoughts on this...

http://www.mt-stuff.com/sample_medical_transcription_reports.html

copy/paste into google or you web browser

I have a doc who rather consistently uses the word "escharrified," meaning to him covered with eschar.  "Scarified" really doesn't have anything to do with the already-existing presence of scars, and having an eschar isn't even close.  But he keeps using it, and the general rule, as we know, is verbatim transcribing.  I've been using it the way he says is for a while, now, but I feel like I'm crossing my fingers behind my back every time, and I WILL NOT add it to the spell checker dictionary! 

Just wanted to poll other MTs out there and see how you would handle it and maybe get a consensus.   Thanks! 

why point it out?  I highly doubt this newbie will blame this board for anything.  She is going to learn new things from this board as we all have.  She obviously was just feeling a little frustrated.  But to blatently point it out I think is being a tattle tale.  It is too bad you didn't have anyone to assist you.  Neither did I at that time, but to blatently make her look bad on this board makes it seem like you are jealous or something.  Aren't we supposed to be helping one another?  If she lands the job, believe me, it won't be because she asked a verbatim question on this board.  More than likely, this poor girl will land a job not paying very much and learn from that.  She will eventually gain experience and knowledge.    All of us experienced ones won't live forever.  We need to support out future not rat them out.

I am reading a report for my mother and I am new to radiology and this is what I have:

"There is a large flipped bucket handle tear of the medial meniscus, anterior horn body and posterior horn with a large flipped component sitting in the anterior intercondylar notch"

What in the world does this mean in layman's terms? Is anybody willing to help? We are nervous because her MRI was yesterday and the surgeon called to get her in tomarrow morning already. I hope somebody knows what in the world this means. Thanks!

That's all I wanted to say because I'm starving right now and that sounds mighty tasty!

"There is a large flipped bucket handle tear of the medial meniscus, anterior horn body and posterior horn with a large flipped component sitting in the anterior intercondylar notch"

What in the world does this mean in layman's terms? Is anybody willing to help? We are nervous because her MRI was yesterday and the surgeon called to get her in tomarrow morning already. I hope somebody knows what in the world this means. Thanks!

I am working on a general practice transcription and I am on the O section talking about blood pressure, weight, heart, respirations, etc., and then it gets to a part right after that, that it sounds like clouds clear and fungus is clear.  I know this is not right but I cannot seem to come up with the right words to put in there.

Can anyone help?

She has a chronic non-productive SL "negi" cough.

Dictation:  For this reason, I used a ?soap block? to make a third cut of the tibia, and then this was once again prepared to accept a size 5 tibia baseplate....  Soap block????    Can anyone verify that for me?